Individual
CHANEL NASHAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2220 NE TOWN CENTRE BLVD APT 1307, LEES SUMMIT, MO 64064-2517
(816) 728-9720
Mailing address
2220 NE TOWN CENTRE BLVD APT 1307, LEES SUMMIT, MO 64064-2517
(816) 728-9720
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MO
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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